NPI | 1811509359 |
---|---|
Former Name | KRISTI LYNN NOTTINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 832930) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 832930) |
Enumeration Date | 2020-08-17 |
Last Update Date | 2024-05-16 |